There are 12 item(s) tagged with the keyword "Costs".
Displaying: 1 - 10 of 12
- Combating Opioid Addiction with Analytics and Case Management
The current opioid epidemic has shed light on the shortcomings of many wellness programs and the lack of preparedness by case management teams to handle chronic conditions and or patient behavior, such as addictive tendencies or duplicate therapy. But are case management teams solely to blame for lack of effective response to this costly health crisis? The simple answer is, no.
Many case managers do not have access to the data or tools required to employ a compelling and value-driven prevention model. Hence, what we see today is very little accountability or effective case management. What’s needed most is quality data to guide active engagement with patients.
- The Benefits to Brokers, Self-Funded Employers of Leveraging Healthcare Quality Transparency
When the success and shortcomings of these healthcare providers and facilities is made public, it helps to foster an arena for constant competitive improvement in the marketplace. Providers and facilities are made more accountable and healthcare consumers get the proverbial “bigger bang for their buck."
- Informed and Healthy Employees Make for Healthy Benefit Plans
Employers have found that it is not only the catastrophic conditions inherent in the high risk employee cohort, but also individuals who have reached the high risk group as a result of many different health issues (co-morbidities), lacking a personal physician, and inappropriately using the hospital or emergent care services for preventable problems. Plan members who are bouncing from one physician to another, because they may not understand what they need or where to obtain the requisite services, also present opportunities to improve clinical and financial metrics.
- The Key to Retaining Self-funded Clients
- The Self-Insured Employer: By The Numbers
The further we venture into our modern healthcare system, it becomes more apparent that the self-insured employer understands their potential to slash healthcare costs by creating and effectively implementing custom population health management programs. This is not so surprising of a trend, considering that health policy architects designed the Affordable Care Act and quality-based reimbursement initiatives to stem rising healthcare costs through population health management, as we reported in our ebook, "The New Broker."
- How The New Broker Can Take The Lead With Predictive Modeling
Data analytics is the current and most effective means to achieving population health management, but let’s face it: To many employers, population health management is merely a health-benefits catchphrase, an empty expression that represents a goal but lacks the means to achieve it. However, in the right hands, data analysis is much more than that. Data analysis gives brokers the edge to fulfill population health management goals by providing common-sense human interactions to take action on the steps identified for plan performance.
- New Year's Company Resolutions
Most company resolutions come in the form of strategies and goals that become the focus for the year ahead. They include wellness programs for employees, benefit changes that will hopefully inspire amendment to employee behavior and “better pricing” from providers and networks.
- Three Ways To Improve Employee Health, Reduce Costs
From our article in Information Week: Chances are 10% of your employees are generating 70% of your company's healthcare costs. Analytics and partnerships can improve their health and reduce your expenses.
- By Rich Williams - Principal at APH
- Poindexter Predictive Modeling Engine
Poindexter, our data analytics risk engine custom-built for population health management. This tool provides dynamic, reliable insight into your population. With Poindexter you have access to essential insights in just a few simple clicks, whether you are at the strategic, provider or clinical user level. With Poindexter, you have the guidance to work smarter and stay focused without losing the “big picture” perspective. Macro trends can be detailed and compared over time with the ability to drill to specific drivers in minutes—all at your fingertips; no need to wait for answers you need today to stay on track.
Poindexter enables revolutionary predictive modeling by looking at the whole individual, as well as group trends, by examining hard data in a practical format and factoring in the impact of rapid changes in healthcare. The result is the ability to predict conditions, trends, gaps in care, admissions and re-admissions- six to 12 months in advance. This analysis of individuals within a population ultimately identifies opportunities and risks; key information in the creation of APH's customized action plans.
- Health Plans
Every health plan and TPA should aim to provide data and actionable insights on how healthcare is currently utilized in order to help clients best manage costs, quality and delivery of care.
APH partners with health plans and third-party administrators in a variety of ways. We attentively support your efforts to manage population health, medical costs, assess/mitigate risk, improve/measure care quality and delivery, and identify future cost drivers/trends through member and provider specific data analysis.
Displaying: 1 - 10 of 12